Provider Demographics
NPI:1104677459
Name:BEDDING, EMMA ELIZABETH (MOT, OTR/L)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:ELIZABETH
Last Name:BEDDING
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:642 NW 11TH ST
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-2979
Mailing Address - Country:US
Mailing Address - Phone:561-275-4585
Mailing Address - Fax:
Practice Address - Street 1:395 PURITAN RD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33405-2903
Practice Address - Country:US
Practice Address - Phone:561-842-8996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL25062225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist